Fmg Lincoln Boulevard Wisconsin LLC

NPI #1215329537 in Cedarburg, Wisconsin

Provider Information

NPI Number
1215329537
Entity Type
Organization
Organization Name
Fmg Lincoln Boulevard Wisconsin LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Feb 24, 2015
Last Updated
Feb 24, 2015

Practice Location

Address
N27W5707 LINCOLN BLVD
ZIP Code
53012-2852
Phone
(262) 376-7676

Authorized Official

Name
DAVID KEATING
Title
AUTHORIZED OFFICIAL
Phone
(414) 908-8058

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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